Individual provider Active NPI

Hunter Seth Richardson, PT

  • Physical Therapist
  • Woodward, OK
National Provider Identifier
1518218148
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4612 Issued in OK
Practice address
4900 Oklahoma Ave Ste 200
Woodward, OK 73801-3719
Phone
(580) 377-3670
Fax
(580) 701-2466
NPI assigned
Sep 22, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4612 OK Primary

Addresses

Primary practice location

4900 Oklahoma Ave Ste 200
Woodward, OK 73801-3719

Mailing address

4900 Oklahoma Ave Ste 200
Woodward, OK 73801-3719
Phone (580) 377-3670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240605003637 OK Practitioner - Physical Therapist in Private Practice 9335399781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Choice Physical TherapyGroup PAC ID 4183166390, 4 clinicians

Practice addresses (Care Compare)

402 N Elm St
Mooreland, OK 73852-9316

4900 Oklahoma Ave
Suite 200
Woodward, OK 73801-3719
Phone (405) 229-7840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4612OKMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Choice Physical Therapy Physical Therapist CurrentSince May 1, 2024 Accepting new patients

Locations

4900 Oklahoma Ave
Ste 200
Woodward, OK 73801
Phone (405) 229-7840

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1518218148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 OKLAHOMA AVE STE 200",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738013719",
            "telephone_number": "580-377-3670",
            "fax_number": "580-701-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 OKLAHOMA AVE STE 200",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738013719",
            "telephone_number": "580-377-3670",
            "fax_number": "580-701-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "HUNTER",
        "middle_name": "SETH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-22",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "4612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodward, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.